MOLLOY COLLEGE NUR 290 EXAM 4 PRACTICE
QUESTIONS & ANSWERS | NUR 290 EXAM 4 STUDY
GUIDE
a 68-year-old | COMPREHENSIVE
client with a history of rheumatic disease REVIEW 2026/2027
and rheumatoid arthritis (RA). what is the best
has persistent swelling, no stiffness, and full range of response by the nurse?
motion to his left knee after an injury sustained several
months ago. x-rays reveal no fracture of the extremity.
which factor is the most likely cause of this client's
continued swelling?
a. degradation of cartilage
b.aging
c. an inflammation process
d. reinjury not seen on x-ray results
a nurse is performing the initial assessment of a client
who has a recent diagnosis of systemic lupus
erythrobates (SLE). which skin manifestation would the
nurse expect to observe on inspection?
a. petechiae
b.erythematous rash
c. jaundice
d. skin sloughing
a clinic nurse is caring for a client with suspected gout.
while describing the pathophysiology of gout to the
client, what should the nurse explain?
a. autoimmune processes in the joints
b.chronic metabolic acidosis
c. increased uric acid levels
d. unstable serum calcium levels
a client's decreased mobility has been attributed to an
autoimmune reaction originating in the synovial tissue,
which caused the formation of pannus. this client has
been diagnosed with which health problem?
a. rheumatoid arthritis (RA)
b.systemic lupus erythematosus (SLE)
c. osteoporosis
d. polymyositis
a nurse is performing the health history and physical
assessment of a client who has a diagnosis of
rheumatoid arthritis (RA). what assessment finding is
most consistent with the clinical presentation of RA?
a. cool joints with decreased range of motion
b.signs of systemic infection
c.joint stiffness lasting longer than 1 hour, especially in
the morning
d. visible atrophy of the knee and shoulder joints
a client has a diagnosis of rheumatoid arthritis, and
the primary provider has now prescribed
cyclophosphamide. the nurse's
subsequent assessments should address which potential
adverse effect?
a. bone marrow suppression
b.acute confusion
c. sedation
d. malignant hyperthermia
a client is undergoing diagnostic testing to determine
the etiology of recent joint pain. the client asks the
nurse about the different between osteoarthritis (OA)
, MOLLOY COLLEGE NUR 290 EXAM 4 PRACTICE
QUESTIONS & ANSWERS | NUR 290 EXAM 4 STUDY
GUIDE | COMPREHENSIVE REVIEW 2026/2027
C. AN INFLAMMATION PROCESS
B. ERYTHEMATOUS RASH
C. INCREASED URIC ACID LEVELS
A. RHEUMATOID ARTHRITIS (RA)
C. JOINT STIFFNESS LASTING LONGER THAN 1 HOUR, ES-
PECIALLY IN THE MORNING
A. BONE MARROW SUPPRESSION
, MOLLOY COLLEGE NUR 290 EXAM 4 PRACTICE
QUESTIONS & ANSWERS | NUR 290 EXAM 4 STUDY
GUIDEa |noninflammatory
a."OA is considered COMPREHENSIVE joint disease. RAREVIEW
is characterized by inflamed, swollen joints"
a. ensuring2026/2027
adequate rest
b.limiting exposure to sunlight
b. "OA and RA are very similar. OA affects the c. limiting intake of alcohol
smaller joints such as the fingers, and RA affects the d. smoking cessation
larger, weight-bearing joints like the knees"
c. "OA originates with an infection. RA is a result of a client's rheumatoid arthritis has failed to respond
your body's cells attacking one another" appreciably to first-line treatments and the primary
d. "OA is associated with impaired immune function; provider has added pred-
RA is a consequence of physical damage"
a client with systemic lupus erythematosus (SLE) is
preparing for discharge. the nurse knows that the client
has understood health education when the client makes
what statement?
a. "I'll make sure I get enough exposure to
sunlight to keep up my vitamin D levels"
b."I'll try to be as physically active between flare-ups"
c. "I'll make sure to monitor my body temperature on
a regular basis"
d."I'll stop taking my steroids when I get relief from my
symptoms"
a client with an exacerbation of systemic lupus
erythematosus (SLE) has been hospitalized on a medical
unit. the nurse observes that the client expresses anger
and irritation when the call bell isn't answered
immediately. which response would be the most
appropriate?
a. "you seem like you're feeling angry. is that
something that we could talk about?"
b."try to remember that stress can make your
symptoms worse"
c. "would you like to talk about the problem with
the nursing supervisor?"
d. "I can see you're angry. I'll come back when you've
calmed down"
allopurinol has been prescribed for a client receiving
treatment for gout. the nurse caring for this client
knows to assesss the client for bone marrow
suppression, which may be manifested by what
diagnostic finding?
a. hyperuricemia
b.increased erythrocyte sedimentation rate
c. elevated serum creatinine
d. decreased platelets
a nurse is planning client education for a client being
discharged home for a diagnosis of rheumatoid arthritis.
the client has been prescribed antimalarials for
treatment, so the nurse knows to teach the client to
self-monitor for what adverse effect?
a. tinnitus
b.visual changes
c. stomatitis
d. hirsutism
a nurse is educating a client with gout about lifestyle
modifications that can help control the signs and
symptoms of the disease. what recommendation should
the nurse make?
, MOLLOY COLLEGE NUR 290 EXAM 4 PRACTICE
QUESTIONS & ANSWERS | NUR 290 EXAM 4 STUDY
GUIDE | COMPREHENSIVE REVIEW 2026/2027
A. "OA IS CONSIDERED A NONINFLAMMATORY JOINT DIS-
EASE. RA IS CHARACTERIZED BY INFLAMED, SWOLLEN
JOINTS"
C. "I'LL MAKE SURE TO MONITOR MY BODY TEMPERATURE
ON A REGULAR BASIS"
A. "YOU SEEM LIKE YOU'RE FEELING ANGRY. IS THAT SOME-
THING THAT WE COULD TALK ABOUT?"
D. DECREASED PLATELETS
B.VISUAL CHANGES
C. LIMITING INTAKE OF ALCOHOL
QUESTIONS & ANSWERS | NUR 290 EXAM 4 STUDY
GUIDE
a 68-year-old | COMPREHENSIVE
client with a history of rheumatic disease REVIEW 2026/2027
and rheumatoid arthritis (RA). what is the best
has persistent swelling, no stiffness, and full range of response by the nurse?
motion to his left knee after an injury sustained several
months ago. x-rays reveal no fracture of the extremity.
which factor is the most likely cause of this client's
continued swelling?
a. degradation of cartilage
b.aging
c. an inflammation process
d. reinjury not seen on x-ray results
a nurse is performing the initial assessment of a client
who has a recent diagnosis of systemic lupus
erythrobates (SLE). which skin manifestation would the
nurse expect to observe on inspection?
a. petechiae
b.erythematous rash
c. jaundice
d. skin sloughing
a clinic nurse is caring for a client with suspected gout.
while describing the pathophysiology of gout to the
client, what should the nurse explain?
a. autoimmune processes in the joints
b.chronic metabolic acidosis
c. increased uric acid levels
d. unstable serum calcium levels
a client's decreased mobility has been attributed to an
autoimmune reaction originating in the synovial tissue,
which caused the formation of pannus. this client has
been diagnosed with which health problem?
a. rheumatoid arthritis (RA)
b.systemic lupus erythematosus (SLE)
c. osteoporosis
d. polymyositis
a nurse is performing the health history and physical
assessment of a client who has a diagnosis of
rheumatoid arthritis (RA). what assessment finding is
most consistent with the clinical presentation of RA?
a. cool joints with decreased range of motion
b.signs of systemic infection
c.joint stiffness lasting longer than 1 hour, especially in
the morning
d. visible atrophy of the knee and shoulder joints
a client has a diagnosis of rheumatoid arthritis, and
the primary provider has now prescribed
cyclophosphamide. the nurse's
subsequent assessments should address which potential
adverse effect?
a. bone marrow suppression
b.acute confusion
c. sedation
d. malignant hyperthermia
a client is undergoing diagnostic testing to determine
the etiology of recent joint pain. the client asks the
nurse about the different between osteoarthritis (OA)
, MOLLOY COLLEGE NUR 290 EXAM 4 PRACTICE
QUESTIONS & ANSWERS | NUR 290 EXAM 4 STUDY
GUIDE | COMPREHENSIVE REVIEW 2026/2027
C. AN INFLAMMATION PROCESS
B. ERYTHEMATOUS RASH
C. INCREASED URIC ACID LEVELS
A. RHEUMATOID ARTHRITIS (RA)
C. JOINT STIFFNESS LASTING LONGER THAN 1 HOUR, ES-
PECIALLY IN THE MORNING
A. BONE MARROW SUPPRESSION
, MOLLOY COLLEGE NUR 290 EXAM 4 PRACTICE
QUESTIONS & ANSWERS | NUR 290 EXAM 4 STUDY
GUIDEa |noninflammatory
a."OA is considered COMPREHENSIVE joint disease. RAREVIEW
is characterized by inflamed, swollen joints"
a. ensuring2026/2027
adequate rest
b.limiting exposure to sunlight
b. "OA and RA are very similar. OA affects the c. limiting intake of alcohol
smaller joints such as the fingers, and RA affects the d. smoking cessation
larger, weight-bearing joints like the knees"
c. "OA originates with an infection. RA is a result of a client's rheumatoid arthritis has failed to respond
your body's cells attacking one another" appreciably to first-line treatments and the primary
d. "OA is associated with impaired immune function; provider has added pred-
RA is a consequence of physical damage"
a client with systemic lupus erythematosus (SLE) is
preparing for discharge. the nurse knows that the client
has understood health education when the client makes
what statement?
a. "I'll make sure I get enough exposure to
sunlight to keep up my vitamin D levels"
b."I'll try to be as physically active between flare-ups"
c. "I'll make sure to monitor my body temperature on
a regular basis"
d."I'll stop taking my steroids when I get relief from my
symptoms"
a client with an exacerbation of systemic lupus
erythematosus (SLE) has been hospitalized on a medical
unit. the nurse observes that the client expresses anger
and irritation when the call bell isn't answered
immediately. which response would be the most
appropriate?
a. "you seem like you're feeling angry. is that
something that we could talk about?"
b."try to remember that stress can make your
symptoms worse"
c. "would you like to talk about the problem with
the nursing supervisor?"
d. "I can see you're angry. I'll come back when you've
calmed down"
allopurinol has been prescribed for a client receiving
treatment for gout. the nurse caring for this client
knows to assesss the client for bone marrow
suppression, which may be manifested by what
diagnostic finding?
a. hyperuricemia
b.increased erythrocyte sedimentation rate
c. elevated serum creatinine
d. decreased platelets
a nurse is planning client education for a client being
discharged home for a diagnosis of rheumatoid arthritis.
the client has been prescribed antimalarials for
treatment, so the nurse knows to teach the client to
self-monitor for what adverse effect?
a. tinnitus
b.visual changes
c. stomatitis
d. hirsutism
a nurse is educating a client with gout about lifestyle
modifications that can help control the signs and
symptoms of the disease. what recommendation should
the nurse make?
, MOLLOY COLLEGE NUR 290 EXAM 4 PRACTICE
QUESTIONS & ANSWERS | NUR 290 EXAM 4 STUDY
GUIDE | COMPREHENSIVE REVIEW 2026/2027
A. "OA IS CONSIDERED A NONINFLAMMATORY JOINT DIS-
EASE. RA IS CHARACTERIZED BY INFLAMED, SWOLLEN
JOINTS"
C. "I'LL MAKE SURE TO MONITOR MY BODY TEMPERATURE
ON A REGULAR BASIS"
A. "YOU SEEM LIKE YOU'RE FEELING ANGRY. IS THAT SOME-
THING THAT WE COULD TALK ABOUT?"
D. DECREASED PLATELETS
B.VISUAL CHANGES
C. LIMITING INTAKE OF ALCOHOL
